국소마취와 전신마취로 시행된 비성형술의 환자 만족도과 합병증 비교

허성재; 차은주; 조현수; 박지혜; 이진걸; 김정수

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자료유형: 학술저널

저자정보: 허성재 차은주 조현수 박지혜 이진걸 김정수

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제61권 제5호

발행연도: 2018.1

수록면: 247 - 251 (5page)

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Background and Objectives Since rhinoplasty techniques require meticulous and delicatemanipulation, proper anesthesia is essential. The aim of the current study is to comparepatient satisfaction and complication of rhinoplasty performed under local anesthesia againstgeneral anesthesia. Subjects and Method Patients who underwent rhinoplasty by a single surgeon betweenMarch 2014 and January 2017 were enrolled in this study. Midazolam was utilized to sedatethe patient during local anesthesia. Pain and memory of surgery under local anesthesia, satisfactionof anesthesia, and willingness to undergo the surgery with the same anesthesia methodagain were evaluated. Cardiopulmonary events, nausea, and vomiting were assessed as complications. Aesthetic satisfaction of patients and the doctor was evaluated 6 month after thesurgery. The parameters were compared between local and general anesthesia. Results A total 120 patients were included in this study. The degree of pain was low duringsurgery under local anesthesia. Although most of patients remembered the process of surgeryduring local anesthesia, satisfaction of local anesthesia was high. The satisfaction of anesthesiaand willingness to undergo surgery with same anesthesia were not signifcantly different betweenlocal and general anesthesia. No serious complications developed during local anesthesiaand there were no signifcant differences of aesthetic satisfaction between local and generalanesthesia. Conclusion Patient satisfaction and aesthetic results of rhinoplasty performed under localanesthesia were comparable to general anesthesia, indicating that surgeons do not need to beafraid of applying local anesthesia in rhinoplasty.

참고문헌 (5)

참고문헌 신청

최진우 / 2006 / 감시하 마취관리 동안 자가 진정 조절을 이용한 propofol, propofol-fentanyl, propofol-ketamine 군에서 진정의 질적 효과, 부작용, 회복 양상의 비교 / Korean Journal of Anesthesiology 50(4):428~433

Taylor MB / 1986 / Ventilatory effects of propofol during induction of anaesthesia. Comparison with thiopentone / Anaesthesia 41(8):816~820

이종화 / 2011 / 개원가에서의 안전한 진정 / 대한의사협회지 54(11):1179~1188

Walder B / 2001 / A lack of evidence of superiority of propofol versus midazolam for sedation in mechanically ventilated critically ill patients: a qualitative and quantitative systematic review / Anesth Analg 92(4):975~983

Al-Moraissi EA / 2015 / Local versus general anesthesia for the management of nasal bone fractures: a systematic review and meta-analysis / J Oral Maxillofac Surg 73(4):606~615

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